# BULLOCK PREVENTIVE AND FAMILY MEDICINE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Focus-MD AL 1017, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912300641
- **Authorized official:** GARY BULLOCK DO (MANAGING MEMBER)
- **Authorized official phone:** (205) 987-4044

## Contact information

- **Practice address:** 430 EMERY DR, SUITE 700, HOOVER, AL 35244-4587
- **Practice address phone:** (205) 987-4044
- **Mailing address:** 430 EMERY DR, SUITE 700, HOOVER, AL 35244-4587
- **Mailing address phone:** (205) 987-4044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | DO729 | AL | Yes |

## Other

- **Enumeration date:** 10/08/2014
- **Last updated:** 10/02/2015